Aqua Vision Care, LLC
NPI 1093057226ActiveOrganization· Optometrist· Pikesville, MD
Optometrist in Pikesville, Maryland, registered in NPPES in March 2013. The authorized official on file is Kelechi Mezu, OD, DR.PH, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093057226 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 26, 2013 |
| Last updated in NPPES | Mar 26, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | TA1714 | MD |
| Optometrist, Corneal and Contact Management | 152WC0802X | TA1714 | MD |
| Optometrist, Low Vision Rehabilitation | 152WL0500X | TA1714 | MD |
| Optometrist, Pediatrics | 152WP0200X | TA1714 | MD |
| Optometrist, Sports Vision | 152WS0006X | TA1714 | MD |
| Optometrist, Vision Therapy | 152WV0400X | TA1714 | MD |
| Optometrist, Occupational Vision | 152WX0102X | TA1714 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MD) |
|---|
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